**Experienced Behavioral Health Care Advocate - Remote Case Management and Utilization Review Specialist**

Remote Full-time
About UnitedHealth Group At UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone. As a global organization, we deliver care, aided by technology, to help millions of people live healthier lives. Our mission is to create a better health system for everyone, and we're looking for talented individuals like you to join our team. About the Role We're seeking an experienced Behavioral Health Care Advocate to join our team in a remote capacity. As a Behavioral Health Care Advocate, you will play a critical role in case management and utilization review of behavioral health and substance abuse cases. You'll have a direct impact on the lives of our members as you recommend and manage the appropriate level of care throughout the entire treatment plan. Key Responsibilities Focusing on initial concurrent reviews for higher levels of care, i.e., Inpatient, Residential, and Partial hospital admissions Inpatient admission for psychiatric and chemical dependency patients via telephone Making patient assessments and determining appropriate levels of care Obtaining information from providers on outpatient requests for treatment. Facility-Based Care Advocates only work with providers for outpatient requests prior to discharge from inpatient, residential, and partial levels of care Determining if additional clinical treatment sessions are needed Managing inpatient and outpatient (Intermediate levels of care, i.e., Residential and Partial) mental health/substance abuse cases throughout the entire treatment plan Administering benefits and reviewing treatment plans Coordinating benefits and transitions between various areas of care Identifying ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those ideas Overseeing the facility-based care experience What Makes This Role Unique This role offers a unique blend of case management, utilization review, and clinical expertise. As a Behavioral Health Care Advocate, you'll have the opportunity to work with a diverse range of patients and providers, making a real impact on their lives. You'll also have the flexibility to work remotely, with a schedule that allows for a healthy work-life balance. Requirements Licensed clinician with a Master's degree in Psychology, Social Work, Counseling, or Marriage or Family Counseling, or an RN with 2 years of experience in behavioral health Licenses must be active and unrestricted to practice at the independent level in your state of residence 3+ years of post-Master's experience in a related mental health environment Proficient Microsoft skills (Word, Excel, Outlook) Dedicated office space and access to high-speed internet service Preferred Qualifications Clinical license in the state of New York Inpatient experience Dual diagnosis experience with mental health and substance abuse Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients Experience working with children/adolescents Experience working with the Medicaid patient population Experience working in a remote position Compensation and Benefits We offer a competitive salary range of $58,300 to $114,300 annually, depending on location and experience. In addition to your salary, you'll enjoy a comprehensive benefits package, including medical, dental, and vision coverage, as well as a 401(k) plan with company match. You'll also have access to incentive and recognition programs, equity stock purchase, and professional development opportunities. Why Join Our Team? At UnitedHealth Group, we're committed to creating a culture that values diversity, equity, and inclusion. We believe that everyone deserves the opportunity to live their healthiest life, regardless of their background or circumstances. As a member of our team, you'll have the opportunity to make a real difference in the lives of our members and contribute to a more equitable healthcare system. How to Apply If you're passionate about making a difference in the lives of others and have the skills and experience to succeed in this role, we encourage you to apply. Please submit your application through our website, and we'll be in touch to discuss the next steps. Equal Employment Opportunity UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Drug-Free Workplace UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply for this job
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